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Laser Ablation of an Isolated External Auditory Canal Skin Wedge.

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Title: Laser Ablation of an Isolated External Auditory Canal Skin Wedge.
Authors: Lakpa, Koffi L., Eyassu, Daniel G., Wiedermann, Joshua P.
Source: Annals of Otology, Rhinology & Laryngology. May2025, Vol. 134 Issue 5, p366-369. 4p.
Subjects: External ear abnormalities, Otitis media, Ablation techniques, Audiometry, Otitis media with effusion, Laser therapy, Ear canal, Middle ear ventilation, Children
Abstract: Introduction: External ear malformations represent a spectrum of congenital anomalies that may involve the external auditory canal (EAC), tympanic membrane (TM), or associated structures. A rare anomaly, the EAC skin wedge, results from incomplete canalization during embryologic development. This report presents the clinical presentation, diagnostic evaluation, and surgical management of this condition. Objective: To detail the successful surgical management of an isolated EAC skin wedge and demonstrate the applicability of argon laser in treating these congenital anomalies. Methods: A 13-month-old female presented with recurrent otitis media and mild bilateral conductive hearing loss. Physical examination revealed a fan-like skin wedge spanning the EAC to the TM. Imaging with temporal bone computed tomography confirmed the extent of the anomaly. Under general anesthesia, the skin wedge was ablated using an argon laser, followed by antibiotic-soaked packing to prevent scarring and recurrence. Follow-up audiometry and endoscopic evaluations assessed outcomes. Results: The procedure was well-tolerated, with no intraoperative complications. At 3 weeks and 3 months postoperatively, no recurrence of the skin wedge was observed, and audiometry normalized. The patient demonstrated improved middle ear ventilation and resolution of conductive hearing loss. Conclusions: This case demonstrates the successful use of argon laser in the management of a rare congenital EAC anomaly. Argon lasers offer precise ablation and excellent hemostasis, making them a valuable option for similar cases. This report emphasizes the importance of tailored surgical approaches for rare pediatric ear malformations. [ABSTRACT FROM AUTHOR]
Copyright of Annals of Otology, Rhinology & Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Laser Ablation of an Isolated External Auditory Canal Skin Wedge.
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  Data: <searchLink fieldCode="AR" term="%22Lakpa%2C+Koffi+L%2E%22">Lakpa, Koffi L.</searchLink><br /><searchLink fieldCode="AR" term="%22Eyassu%2C+Daniel+G%2E%22">Eyassu, Daniel G.</searchLink><br /><searchLink fieldCode="AR" term="%22Wiedermann%2C+Joshua+P%2E%22">Wiedermann, Joshua P.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Annals+of+Otology%2C+Rhinology+%26+Laryngology%22">Annals of Otology, Rhinology & Laryngology</searchLink>. May2025, Vol. 134 Issue 5, p366-369. 4p.
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  Data: <searchLink fieldCode="DE" term="%22External+ear+abnormalities%22">External ear abnormalities</searchLink><br /><searchLink fieldCode="DE" term="%22Otitis+media%22">Otitis media</searchLink><br /><searchLink fieldCode="DE" term="%22Ablation+techniques%22">Ablation techniques</searchLink><br /><searchLink fieldCode="DE" term="%22Audiometry%22">Audiometry</searchLink><br /><searchLink fieldCode="DE" term="%22Otitis+media+with+effusion%22">Otitis media with effusion</searchLink><br /><searchLink fieldCode="DE" term="%22Laser+therapy%22">Laser therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Ear+canal%22">Ear canal</searchLink><br /><searchLink fieldCode="DE" term="%22Middle+ear+ventilation%22">Middle ear ventilation</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Introduction: External ear malformations represent a spectrum of congenital anomalies that may involve the external auditory canal (EAC), tympanic membrane (TM), or associated structures. A rare anomaly, the EAC skin wedge, results from incomplete canalization during embryologic development. This report presents the clinical presentation, diagnostic evaluation, and surgical management of this condition. Objective: To detail the successful surgical management of an isolated EAC skin wedge and demonstrate the applicability of argon laser in treating these congenital anomalies. Methods: A 13-month-old female presented with recurrent otitis media and mild bilateral conductive hearing loss. Physical examination revealed a fan-like skin wedge spanning the EAC to the TM. Imaging with temporal bone computed tomography confirmed the extent of the anomaly. Under general anesthesia, the skin wedge was ablated using an argon laser, followed by antibiotic-soaked packing to prevent scarring and recurrence. Follow-up audiometry and endoscopic evaluations assessed outcomes. Results: The procedure was well-tolerated, with no intraoperative complications. At 3 weeks and 3 months postoperatively, no recurrence of the skin wedge was observed, and audiometry normalized. The patient demonstrated improved middle ear ventilation and resolution of conductive hearing loss. Conclusions: This case demonstrates the successful use of argon laser in the management of a rare congenital EAC anomaly. Argon lasers offer precise ablation and excellent hemostasis, making them a valuable option for similar cases. This report emphasizes the importance of tailored surgical approaches for rare pediatric ear malformations. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Annals of Otology, Rhinology & Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1177/00034894241309219
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      – Code: eng
        Text: English
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        PageCount: 4
        StartPage: 366
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      – SubjectFull: External ear abnormalities
        Type: general
      – SubjectFull: Otitis media
        Type: general
      – SubjectFull: Ablation techniques
        Type: general
      – SubjectFull: Audiometry
        Type: general
      – SubjectFull: Otitis media with effusion
        Type: general
      – SubjectFull: Laser therapy
        Type: general
      – SubjectFull: Ear canal
        Type: general
      – SubjectFull: Middle ear ventilation
        Type: general
      – SubjectFull: Children
        Type: general
    Titles:
      – TitleFull: Laser Ablation of an Isolated External Auditory Canal Skin Wedge.
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            NameFull: Lakpa, Koffi L.
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            NameFull: Eyassu, Daniel G.
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            NameFull: Wiedermann, Joshua P.
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            – D: 01
              M: 05
              Text: May2025
              Type: published
              Y: 2025
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